LUIS A PEREZ MD INC NPI 1184934648

NPI Information

NPI: 1184934648
Provider Name: LUIS A PEREZ MD INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1220 S CENTRAL AVE STE 102
GLENDALE, CA
ZIP 91204
Phone: (818) 396-0074
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LUIS A PEREZ MD INC is a general practice in Glendale, CA. LUIS A PEREZ MD INC NPI is 1184934648. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1220 S CENTRAL AVE STE 102
GLENDALE, CA
ZIP 91204-805
Phone: (818) 396-0074
Fax: (818) 396-0075

The provider's authorized official is Luis A Perez .
The authorized official title is President/ceo and has the following contact phone number (818) 396-0074.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 10/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A56266	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A56266	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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